HomeMy WebLinkAbout02-03-12~ rcese>;
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support (hereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Informr>ttion _
Name: Mary Rose Koonce ~ ~" ~ ..
a/k/a:
a/k/a:
a/k/a:
Date of Death: 1/15/2012
File No: ~ ` - ~ ~ - ~ ~ ~~
(Assigned by Register)
Social Security No: 204-28-0972
Age at death: 76
Decedent was domiciled at death in Cumberland County, pennSYlvania (ware) with his/her last
principal residence at 18 Vallev Road. 17241-9746 Newville Unuer Frartkford Cumberland
Street address, Post Office and Z1p Code City, Township or Borough County
Decedent died at 18 Vallev Road. 17241-9746 Newville Unuer Frattkford Cttmberland PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 1,000.00
If not domiciled in Pennsy[vania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................Personal property in County $
Value of real estate in Pennsylvania ......................................................... $ 49,000.0()
TOTAL ESTIMATED VALUE.... $ 50.000.00
Real estate in Pennsylvania situated at: 18 Vallev Road, 17241-9746 Newville Upper Frankford Cumberland
(Attach additional sheets, ifnecessary.) Street address, Post Office and Zip Code City, Township or Borough County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated
thereto dated
12/29/2011
State relevant circumstances (eg. renunciation, death of executor, etc)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 332?
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
0' NO EXCEPTIONS ®EXCEPTIONS
® B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante
and Codicil(s)
rr7 ~;,>
&~arty td~ ing
a clit~ or
7b~ '=i -~ C'r
O ~` -r;
If Administration, c.t.a. or tlb.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ®EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, ifnecessary):
Name Relationshi Address
Form RW-01 rev. 10/11/20/1 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Printed Name
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18
Use
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The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to~jr,~a~ffirmed an s bscribed before ~..~~ ~ ~ sl./~ , Date ~ - 3 - I Z
ma this . Y^l~` rl avmf _~~h i I /.i... ~~~ ~ ~~ ~ Date
BOND Required: ~ YES Q NO To the Register of R'i[ls:
FEES' Please enter my appearance by my signature below:
Letters ..................... .
( 5) Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commi~Si1o`n.~.n ......... : . .... .
Other W~ Y I .... .
~o ,~'
~n nn
........
Automation Fee ............... ~ ~a 5.00
JCS Fee ..................... j{T/. 23.50
TOTAL .....................
Attorney Signature:
Printed Name: Adam R. Deluca
Supreme Court
ID Number: 311738
Firm Name: Allied Attorneys of Central Pennsylvania, LLC
Address: F1 Wect T n rther 4treet
CarlielP, PA 1701'i
Phone: 717-249-1177
Fax:
Email: arrlPhiraR5nao1 cnm
DECREE OF THE REGISTER
Estate of Marv Rose Koonce
a/k/a:
File No: Q _~ - ~o~~ 0~`'y
AND NOW, ~-~ P,~ll.
satisfactory proof having been
,~~~ , in consideration of the foregoing Petition,
before me, IT IS DECREED that Letters Testamentary
Eby granted to Rickev L. Moffitt
in the above estate and (if applicable) that
the instrument(s) dated 12/29/2011
described in the Petition be admitted to probate and filed of a ord as the la t Will (and o 'cil(s)) of Dece t.
~"
gister of Wi s
,~ /
Form xw-oz rev. roilrizoTl Page 2 of 2
_ _ _ . _.~ T __ _ _ _
. ~s.~~~ o~~ ,o,.,, 10~ - y y9'
LOCAL~~~~~ 'S CERTIFICATION OF DEATH
WARN plicate this copy by Photostat or photograph.
Fee for this certificate, $6.00
3 A~ ~• 2~ This is to certify that the information here given is
'~Q~'~ ~~~ ' correctly copied from an original Certificate of Death
duly filed with me as Local Rcgistraz. 'The original
certificate will be forwarded to the State Vital
~j Records Office for permanent filing.
P 18 210 2 51 ~~'~ ~ ~ 19~.,. A~4~1..,'a,r -IaffJ t fi~2fl12
Certification Number Local Registraz Date Issued
S ( Twa(PKnt In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
Pe.ma"•"[ CERTIFICATE-OF DEATH
al ck I k {44 F Number:
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1. D rtt'a Lapl Noma lFlrat, Mltldla, last, SuMx) 2. Sex !. SoGal sewrtty NumWr 4. Oats as (M r) (SpN Mo)
Mary Rpae Koonce emale 204-28-0972 Jant2ary 15, 2012
{a. A{e-fart BIKM1 ay ra Sb. V er Y ar Sc. Un aY 1 Da B. Da4 of BIKh Ma Day/Yaar) (SpaN MPMh) 7a. Blrtfiplaw (CRy ana B[a4 Or oral{n Country)
Mont s ww Heura Mlnu4a
~~ 76 March 9 , 1935 >b. {IKhplata (COUrgy) land
Ba. Refl ants Sb4 or Forel{n CoYntry b. Resl enu (9traat Ntl NYmber - Inc1uM Apt No.) k. Dltl nt Llva In • ToWnfhlp?
8A Ves, deaden[ Ihratl In t~2{IL>^ v'a-an]r F.++^e9 twP.
aa. n.na.r.w (cdYnty 18 Valle Road
ea. Rxldanu (ZJp Cotla) ONO, eeaaan[ Ihaa rRhln Iimhs of Gly/boro.
. EV•Y In USA FercN? SO. MaK41 S4Nf K Tlma M D•at MaKled WI ewe il. SYrvMn{ SpgYSa's Name 1 wHa, {he Mma PHer 4 first maMa{e
Q Yaa QCNO O Vnknown 0(Dhorcad Q Nawr M•rN•tl Q Unknown
13. FKCK's Nama Nrat, Mldale, Loft Suffix) 13. MoeheY'f Nam• PHOr t° rrt MaKlap (Flrft. Mltltlls, fart
SM. InUrment'a Name 14b. Ralatlonshlp 4 peeadent 14c. nfprmant'f Mellll,{ Aee4K (S[4K arW Number, City, Star. 21p Cotla)
If Death OCCYmd In • Hafp141: ~~ IrryKlen[ If DaatM1 OccYrretl $OInaWM4 Other Than • MOfORaI: 1..1 Flosplca hcfl)tY 2y DIt•aint s Nome
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13 Facl it)' Namf (1 net Inatltueon, { w fir•at and number: SSc. LTh or Tewn 544, and Ilp lSd. CRIIOK Of DaPtP
18 Vall Road Newiile FA 17241 Cuni~erland
a 16a MaMed DlaPOSit en Burial Cremetlon }Eb. Da4 of Dlspefition 1 . Place K ONKfinen ( ems cemetery, eromatery, Pr other platy)
p R.mowl from se.4 D °°n•N°"
O[Mr ) Jan _ 20, 201 CLaDtrerland Vall.y Memorial Gardena
SBd. locaVOn W 6lapultlon (CRY er TOWn, Stets, and Zip) Iya. SI{ r• eT Puna k In Charye n4rmant 1 . Uunsa Number
Carlisle, PA 17013 13$504
STC. Nama .na a.o.nph[a Aaaroa of FYn.ral c.eutY
Hoffman-Rotri Funeral Hotitm & Cremato . 219 North Hanover street, Carlisle, PA 17013
~( 1{. pKa ants Etluueon -Check [ e box [hK hart eascrlbN t e 19. DacetlK[ of Hlapenic ON{ n - Check Ma 20. Decadent s Recce -Cheek ONE OR MORE 4CSa to Indl4ta whK
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® BM {rode or 1•v If SpKifh/HlsPanic/Latine. Chock the "NO^ ~[tNhke ~ K°raan
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CAUSE OF DEATH Apprpxlma4
36. Part 1. Einar tM1a [halo of went-dls•uas, In1YHes, er romPllutions-thK alracHV cauNd Ma duth. DO NOT an4r 4rminal ayenta sKh as cardla[ irteM In4rnl:
4fplra<ory arrest. or YlnMeYlarflbNllatlPn wRhout shewln{ the KIOIe{y. 00 NOT q{BRFVIATE. En4r only one uuN on • IIM. Mtl atleRlonal llrraa If nK{Wry OmK 4 Death
IMMEDIATE CAUSE -------->
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(Final tllaasaa or condltlPn
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e arty, lastlln{ [o the uufe
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UNDERLYING GV{E Dus t° (or • consaquenea ef):
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(a1sNN or Inury thK
InKlaUtl Me awnta rasultln{ a.
In daaM) tA{T. Dus <o (or as a wnsagYence ef).
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36. INYry at Work 37. It T4napoKK en Inlury, SPKIIy: 36. DascKbe How Inury Occurred:
Q Y.. a Drlwr/Dpara[OY 0 P.rNatrl.n
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GKIMn{ pCyalcNn -Te tfia Mst of my knowleefa, tlnth occurred due 4 Me uYNNI and manner atat.tl
sne plea
and dY• 4 the uYN(f) sne manner stated
eaaM occurred et the [Line
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51{natuN W uKlfler. ~- • TRIG of ureflar: ~I"~ LIUMe NYmber' MQ
39b. Nama, Atltlrau and Zip Cetla of PaK empl4en{ Gauaa of 0.a<h (Item 2E) 38c. De4 F{ned (M ay r)
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43. Amanemanta
DlatetsRlOn ParmR No. \ )~ ~~ 1e,~" r REV O)/1 10 1
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LAST WILL AND TESTAMENT OF
MARY R. KOONCE
£a~7 ~~s -~ a~ ~a~ ~~
QFI"S~COCAUR
~~M~
I, MARY R. KOONCE, of Newville, Cumberland County, Pennsylvania, declare
this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils.
1. I direct that all my just debts, funeral expenses, grave markers and
administrative expenses shall be paid from my estate as soon as practicable after my
death. It is my wish that upon my death my body shall be buried beside my son in the
Cumberland Valley Memorial Gardens, Ritner Highway, Carlisle, PA.
2. I direct that my son, Rickey L. Moffitt, shall be given my real property
and all personal property at 18 Valley Road, Newville, PA, with the exception of my
velvet Elvis picture which will be given to my daughter, Ruby Martin, and my four (4)
kerosene lamps, which shall be given to my son, Roger E. Moffitt.
3. I direct that the rest, residue and remainder of my estate shall be given to
my sons, Rickey L. Moffitt, and Roger E. Moffitt, and my daughter, Ruby Martin, in
equal shares, per capita.
4. I appoint my son, Rickey L. Moffitt as Executor of this my Last Will. In
the event that my son is deceased, unable or unwilling to serve or shall cease to serve for
any reason whatsoever, then I nominate, constitute and appoint my son, Roger E. Moffitt,
as alternate Executor of this my Last Will and Testament.
5. The Executor of this Will shall have the power to distribute my estate in
kind or in cash, or partly in either.
6. I direct that no Executor acting under this Will shall be required to enter
bond in any jurisdiction.
7. I recommend that my Personal Representative retain the law firm of Allied
Attorneys of Central Pennsylvania to probate my estate.
IN WITNESS WHEREOF, I have hereunto set my hand this day
of ~~~,,,.,~ r- , 2011.
~~q~~_
MARY R. KOONCE
Page 1 of 4
y ~
ACKNOWLEDGMENT
COUNTY OF CUMBERLAND
SS
I, MARY R. KOONCE, the TESTATRIX, whose name is signed to the attached or
COMMONWEALTH OF PENNSYLVANIA
foregoing instrument, having been duly qualified according to law, do hereby acknowledge
that I signed and executed the instrument as my Last Will and Testament; that I signed it
willingly, and that I signed it as my free and voluntary act for the purposes therein
expressed.
MARY .KOONCE
a~
Sworn or affirmed and acknowledged before me by MARY R. KOONCE, the
tt.
TESTATRIX, this ~ day of ~ , 2011.
otary c/Attorney
IdOTARlAL SEAL
STEP!~IANIE E CHERTOK, No?ory Public
Carlisle isoro, Cumberland County
My Commission Expires March 24, 2015
Page 3 of 4
_~_
.r 4
AFFIDAVIT
NOTARIAL SERI.
STEPHANIE E CHEI2TOK, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires PJlarch 24, 2015
Page 4 of 4
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. SS
wE, ~~ Q.P~ IJ ~~G~ and ~i .s7`o
the witnesses whose names are attached to the foregoing document, being duly qualified
according to law, do depose and say that we were present and saw testatrix sign and
execute the instrument as her Last Will; that she signed willingly and that she executed it
as her free and voluntary act for the purposes therein expressed; that each subscribing
witness in the hearing and sight of the testatrix signed the Last Will and Testament as
witnesses and that to the best of our knowledge the testatrix was at the time 18 or more
years of age, of sound mind and under no constraint or undue influence.
~~
Sworn or affirmed and subscribed before me by
am ~• t~eiv~a.II and Q,,~ ~.~~~~~,~ this
day of ~~u.~G/ , 2011.
o Pu ' /Attorney
~~
The preceding instrument consisting of this and three other pages was on the day and date
hereof signed, published and declared by , as and for her Last Will and Testament in the
presence of us, who at her request, in her presence and in the presence of each other have
subscribed our names as witnesses hereto.
fitness
fitness
Page 2 of 4